Question 1

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

Question 2

Is it really possible to have pulmonary artery hypertension even when the pulmonary artery looks normal and there's no turbulence? I'm just trying to wrap my head around how that can happen. Could there be underlying issues or does it indicate a different problem? I'm a bit concerned and just trying to understand why this might occur.

Accepted Answer

Yes, it is possible to have pulmonary artery hypertension even with normal pulmonary artery anatomy and no turbulence. In such cases, the hypertension may be due to other underlying factors such as inflammation, vasoconstriction, or other vascular abnormalities. Treatment for pulmonary artery hypertension may include medications such as Sildenafil (Revatio) or Tadalafil (Adcirca) to help relax the pulmonary arteries and improve blood flow. Dosage and duration of treatment should be determined by a healthcare professional.

Question 3

I'm a bit concerned because when I'm checking my pulse with a pulse oximeter, it's showing messages like "suspected short run of fast pulse" and "suspected occasional short pulse interval." Should I be worried about these readings?

Accepted Answer

Thats non specific,visit Physyician for evaluation and appropriate management

My mom's cardiologist suggested open heart surgery for her severe mitral stenosis but I'm really worried about such a major procedure. I heard about balloon valvuloplasty as an alternative - could that work for her condition? What would you recommend as the best option for her severe valve problem?

CTVS opinion advise.

More Cardiology Health Queries

I'm a bit concerned because when I'm checking my pulse with a pulse oximeter, it's showing messages like "suspected short run of fast pulse" and "suspected occasional short pulse interval." Should I be worried about these readings?

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